Oscar Health expands ACA offerings with new chronic condition plans

Oscar Health is expanding its presence in the Affordable Care Act (ACA) marketplace by introducing new plans for individuals managing multiple chronic conditions.

Multi-Condition Plan

The new multi-condition plan targets members with diabetes, pulmonary diseases, and cardiovascular issues. It offers benefits such as zero out-of-pocket costs for consultations with specialists and coverage for screenings, labs, primary and behavioral care, and medications.

Tailored Offerings

Oscar Health is launching tailored offerings for different demographics, allowing employees to choose plans that align with their health needs, schedules, and local networks.

The company is also introducing Buena Salud, a Spanish-first offering for Hispanic and Latino members, and establishing a dedicated concierge team to assist employees in maximizing their benefits.

Guided Care HMO

Oscar Health will also introduce the Guided Care HMO, which features lower premiums and out-of-pocket costs. It allows individuals to select a primary care provider who will manage their overall care in collaboration with a network of specialists.

Mark Bertolini

Mark Bertolini, the new CEO of Oscar Health, brings experience in transforming traditional health insurance models into consumer-oriented healthcare solutions.

Oscar Health's Focus

Oscar Health's focus on chronic condition management, cultural inclusivity, and innovative care models positions it as a key player in the healthcare insurance industry.

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